A newly published (Oct 2, 2010) study in Spine Journal compared family physician-directed usual care with evidence-based clinical practice guidelines (CPGs) (which includes reassurance and avoidance of passive treatments, acetaminophen, 4 weeks of lumbar chiropractic spinal manipulative care, and return to work within 8 weeks) on patients with acute low back pain.

Adjustments, with or without exercise, improved symptoms more than medical care alone after three and 12 months. However, analysis of the cost utility of different strategies shows that adjustments alone give better value for money than adjustments followed by exercise (page 1381).

The Low Back Pain and Chiropractic Page contains numerous other studies, dating back to the early 1990s, that demonstrate the vast superiority (and safety) of chiropractic management for low back pain. You may also want to review the editorial titled End Medical Mis-Management of Low Back Pain as it encapsulates many of those findings.

To read the entire article, please click HERE.

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